OrganizationActive
Northside Pediatrics, PLLC
NPI 1629784194 · Pediatrics Physician · Plano, TX
Northside Pediatrics, PLLC is a Pediatrics Physician organization in Plano, TX (NPI 1629784194).
Provider details
- NPI number
- 1629784194
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jaeon Abraham, Manager(214) 674-9189
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 Jupiter Rd # 940683
Plano, TX 75074-7017
Phone: (682) 305-7890
Street-level locationGet directions
Mailing address
317 W Muirfield Rd
Garland, TX 75044-4233
Registry dates
- Enumerated
- 2023-01-27
- Last updated
- 2023-01-27
- Certified
- 2023-01-26
Frequently asked questions
- What is Northside Pediatrics, PLLC's NPI number?
- Northside Pediatrics, PLLC's National Provider Identifier (NPI) is 1629784194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northside Pediatrics, PLLC?
- Northside Pediatrics, PLLC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Northside Pediatrics, PLLC located?
- Northside Pediatrics, PLLC's practice location on file with NPPES is 1200 Jupiter Rd # 940683, Plano, TX 75074-7017.
- What is Northside Pediatrics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Northside Pediatrics, PLLC is (682) 305-7890.
- Who is the authorized official for Northside Pediatrics, PLLC?
- The authorized official listed on Northside Pediatrics, PLLC's NPPES record is Jaeon Abraham, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northside Pediatrics, PLLC's NPI active?
- Yes — Northside Pediatrics, PLLC's NPI (1629784194) is active in the NPPES registry as of the last update on 2023-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.